NPI 1205004249 · live from the CMS NPI Registry
John A Damergis, M.D.
Psychiatry & Neurology, Sleep Medicine in Bloomington, MN. National Provider Identifier 1205004249, active.
NPI record
| NPI | 1205004249 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Sleep Medicine 2084S0012X |
| Practice location | 3601 Minnesota Dr Ste 200, Bloomington, MN 55435 |
| Practice phone | 612-879-1000 |
| Enumerated | February 12, 2008 |
| Last updated | August 7, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology | 2084N0400X | 49503 (MN) |
| Psychiatry & Neurology, Sleep Medicine primary | 2084S0012X | 49503 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.